Anda di halaman 1dari 2

(To be filled up by BIR) DLN: [NOTE: This form shall be used in RDOs with eTIS-1 only]

BIR Form No.


Republic of the Phillipines
Application for Registration
Department of Finance
Bureau of Internal Revenue 1903
November 2014 (ENCS)

For Corporations, Partnerships (Taxable/Non-Taxable),


Including GAIs, LGUs, Cooperatives and Associations TIN to be issued, if applicable (To be filled up by BIR)
Fill in all applicable white spaces. Mark all appropriate boxes with an "X".
Part 1 Taxpayer Information
1 Registering Head Office Branch Office Facility 2 BIR Registration Date
Office (To be filled up by BIR) (MM/DD/YYYY)
3 Taxpayer Identification Number (TIN) 4 RDO Code
(For Taxpayer with existing TIN) (To be filled up by BIR)
5 Registered Name (Copy exact name appearing in SEC Certificate of Registration/Charter/Cooperative Development Authority/HLURB)

6 Date of Incorporation/Organization/Cooperation 7 Taxable Year/Accounting Period Starting Date of Fiscal Year (MM/DD/YYYY)
(MM/DD/YYYY) Calendar Year Fiscal Year
8 Preferred Contact Type
Phone Number Mobile Number Fax Number Email Address (required)

9 Business Address

Lot#/Blk#/Phase/House#/Unit/Room/Floor/Bldg.#/Sub Street Building Name/Street Name/Subdivision/Village/Zone Province

Municipality/City/District Barangay ZIP Code


10 Foreign Address

11 Municipality Code 12 Purpose of TIN Application


(To be filled up by BIR)
13 Taxpayer Type
Domestic Corporation National Government Agency Joint Venture
Partnership Local Government Units Cooperatives
General Professional Partnership Government Owned and Controlled Corporation Resident Foreign Corporation
Limited Non-Stock, Non-Profit Organizations Non-Resident Foreign Partnership
Unlimited Regional Operating Headquarters Non-Resident Foreign Corporation
14 Primary/Secondary Industries (Attach additional sheet/s, if necessary)
Business Business PSIC Code
Regulatory
Industry Trade/Business Name
Body
Registration Registration Date (To be filled up by Line of Business
Number (MM/DD/YYYY) BIR)
Primary
Secondary
15 Facility Details (PP-Place of Production/Plant; SP-Storage Place; WH-Warehouse; SR-Showroom; GG-Garage; BT-Bus Terminal; RP-Real Property for Lease with No Sales Activity)
15A Facility Code 15B Facility Type
(To be filled up by BIR)
F PP SP WH SR GG BT RP
15C Facility Address Others (specify)

Lot#/Blk#/Phase/House#/Unit/Room/Floor/Bldg.#/Sub Street Building Name/Street Name/Subdivision/Village/Zone Province

Municipality/City/District Barangay ZIP Code


16 Incentives Details
16A Investment Promotion Agency (e.g. PEZA, BOI) 16B Legal Basis (e.g. RA, EO) 16C Incentives Granted (e.g. exempt from IT, VAT, etc.)

16D Number of Years 16E Incentive Start Date 16F Incentive End Date
(MM/DD/YYYY) (MM/DD/YYYY)
17 Details of Registration/Accreditation FROM TO
17A Registration/Accreditation Number 17B Effectivity Date (MM/DD/YYYY) (MM/DD/YYYY) 17C Date Issued (MM/DD/YYYY)

17D Registered Activity 17E Tax Regime (Regular, Special, Exempt) 17F Activity Start Date (MM/DD/YYYY) 17G Activity End Date (MM/DD/YYYY)

18 Tax Types (this portion determines your tax liability/ies) (To be filled up by BIR)
Form Type ATC Form Type ATC
Registration Fee Value-Added Tax

Withholding Tax Percentage Tax


Compensation Stocks
Expanded Overseas Dispatch & Amusement
Final Under Special Laws
Fringe Benefits Other Percentage Tax under NIRC (specify)
VAT & Other Percentage Taxes
ONETT not subject to CGT
page 2 - BIR Form No. 1903
Tax Types (continuation) Form Type ATC Form Type ATC
Documentary Stamp Tax
Percentage Tax on Winnings & Prizes Regular
On Interest Paid on Deposits & Yield One-Time Transactions (ONETT)
on Deposits Substitutes/Trusts/Etc. Capital Gains - Real Property
Income Tax Capital Gains - Stocks

Excise Tax Donors Tax


Alcohol Products Estate Tax
Automobiles & Non-Essential Goods Miscellaneous Tax (specify)
Mineral Products
Petroleum Products Others (specify)
Tobacco Products
Tobacco Inspection Fees
19 Registration of Books of Accounts
Type Volume Date Registered Date Issued
Books Registered Quantity Permit Number
(Manual or Loose) From To (MM/DD/YYY) (MM/DD/YYY)

20 Relationship Name (For Authorized Representative)


(Last Name) (First Name) (Middle Name) (Suffix)

21 Relationship Type Others (specify) 22 TIN of Authorized Representative


Stockholder Member Tax Agent Employee

23 Relationship Start Date (MM/DD/YYYY) 25 Address

Lot#/Blk#/Phase/House#/Unit/Room/Floor/Bldg.#/Sub Street Building Name/Street Name/Subdivision/Village/Zone Province


24 Address Type
Residence
Place of Business Municipality/City/District Barangay ZIP Code
26 Preferred Contact Type
Phone Number Mobile Number Fax Number Email Address (required)

27 Stockholder's/Partner's/Member's Name (attach additional sheet, if necessary)


(Last Name, First Name, Middle Name, Suffix, if Individual) /(Registered Name, if Non-Individual) Taxpayer Identification Number (TIN)

28 Declaration
I declare, under the penalties of perjury, that this application has been made in good faith, verified by me and to the best of my knowledge and belief,
is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

President/Vice President/Principal Officer/Accredited Title/Position of Signatory TIN of Signatory


Tax Agent/Authorized Representative/Taxpayer
(Signature over Printed Name)

Tax Agent Acc. No./Atty's Roll No. (if applicable) Date of Issuance Date of Expiry
Documentary Requirements:
A. Copy of SEC Registration and Articles of Incorporation for Corporation/ H. For GAIs, GOCCs and LGUs - Copy of the Unit or Agency's Charter
Articles of Partnership, as the case may be I. For Cooperatives - Copy of Cooperative Development Authority (CDA) Certificate
B. Copy of Mayor's Business Permit or duly received Application for Mayor's of Registration and Articles of Cooperation
Business Permit, if the former is still in process with the LGU J. For Homeowners' Association - Copy of Certificate of Registration issued by
C. Contract of Lease, if applicable Housing and Land Use Regulatory Board (HLURB) and Articles of Association
D. Certificate of Authority, if Barangay Micro Business Enterprise (BMBE) IN THE CASE OF REGISTRATION OF BRANCH/FACILITY TYPE:
registered entity A. Copy of Certificate of Registration (COR) of the Head Office (HO) for facility
E. Franchise Agreement, if applicable types to be used by the HO and COR of the Branch for facility types to be
F. License to Do Business in the Philippines, in case of Resident Foreign used by a particular branch
Corporation B. Copy of Mayor's Business Permit or duly received Application for Mayor's
G. Proof of Registration / Permit to Operate with Board of Investment (BOI)/ Business Permit, if the former is not yet available; and
Board of Investment for Autonomous Region of Muslim Mindanao (BOI-ARMM), C. Contract of Lease, if applicable.
Philippine Economic Zone Authority (PEZA), Bases Conversion Development
Authority (BCDA), Subic Bay Metropolitan Authority (SBMA), if applicable
POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE
PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.